10.3 Arthroscopically assisted procedure . . . . . . . . . . . . . .
78
11 Postoperative care and implant removal . . . . . . . . . .
81
11.1 Postoperative care after ORIF
81
Wound care
81
Immobilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
81
Antibiotic and thromboembolic prophylaxis
81
Antiedema therapy
81
Rehabilitation
81
Weight bearing of the limb . . . . . . . . . . . . . . . . . . . . . . . . .
82
Radiographic control and CT examination
82
11.2 Postoperative care after percutaneous reduction and fixation . . . .
82
11.3 Postoperative care after external fixation . . . . . . . . . . . .
82
11.4 Implant removal . . . . . . . . . . . . . . . . . . . . .
82
Examination before implant removal . . . . . . . . . . . . . . . . . . . . . .
83
12 Complications in treatment of calcaneal fractures . . . .
85
12.1 Iatrogenic complications . . . . . . . . . . . . . . . . . .
85
12.1.1 Neurological complications . . . . . . . . . . . . . . . . . . . . . . .
85
12.1.2 Injuries to tendons . . . . . . . . . . . . . . . . . . . . . . . . . .
86
12.1.3 Choice of an improper operative technique . . . . . . . . . . . . . . . . .
86
12.3 Complications caused by the patient . . . . . . . . . . . . .
86
12.4 Infectious complications . . . . . . . . . . . . . . . . . .
86
12.5 Compartment syndrome of the foot . . . . . . . . . . . . . .
87
12.6 Algoneurodystrophic (Sudeck´s) syndrome . . . . . . . . . .
89
13 Polytrauma and calcaneal fractures . . . . . . . . . . .
91
14 Open fractures . . . . . . . . . . . . . . . . . . . . . .
95
15 Atypical intra-articular calcaneal fractures
97
15.1 Transcalcaneal talonavicular dislocation . . . . . . . . . . . .
97
15.2 Calcaneal fracture-dislocations . . . . . . . . . . . . . . .
99
15.2.1 Lateral dislocation
99
15.2.2 Medial dislocation . . . . . . . . . . . . . . . . . . . . . . . . . .
100
15.3 Intra-articular fractures of the anterior process . . . . . . . . .
101
15.4 Beak-type fractures . . . . . . . . . . . . . . . . . . . .
102
16 Extra-articular calcaneal fractures
105
16.1 Calcaneal tuberosity fractures (avulsion) . . . . . . . . . . . .
105
16.2 Extra-articular fractures of the body of the calcaneus
and the sustentaculum . . . . . . . . . . . . . . . . . . . .
105
17 Our group of patients
109
17.1 Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
109
17.2 Distribution of fracture patterns in the series . . . . . . . . . .
109
17.3 Choice of the operative technique . . . . . . . . . . . . . .
110
17.4 Surgical approaches, types of internal fixation and timing of surgery .
110
17.5 Evaluation of results
112
17.6 Complications encountered in the cohort
116
17.7 Summary of the results and the author´s recommendations . . . .
117
17.7.1 Summary of the results . . . . . . . . . . . . . . . . . . . . . . . . .
117
17.7.2 The author´s recommendations . . . . . . . . . . . . . . . . . . . . .
119
Conclusion
121
References . . . . . . . . . . . . . . . . . . . . . . . . .
123
